Sex-based Differences in the Pharmacokinetic and Pharmacodynamic activity of different Drugs

Rohan Pal, Ritam Ghosh, Banibrata Acharyya, Rajat Subhra Saha, Sudipta Dey, Arpita Nandy, Arin Bhattacharjee
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Abstract

The precise effects of sex on the effects of various drugs are still unknown, even though sex-specific variations in various medications are well documented. It is not uncommon for women and men to react differently to different medications due to differences in their body composition, physiology, and drug pharmacokinetics (A, D, M, E), as well as pharmacodynamics. These differences include hormonal effects during the menstrual cycle, pregnancy, and menopause. The underrepresentation of women in clinical trials, which is a significant obstacle to the optimisation of medicines for women of all ages, directly contributes to the underuse of evidence-based medications. As an added bonus, women experience greater side effects from drugs than men do. Thus, the majority of trials that were performed on middle-aged men were used to develop current recommendations for disease prevention, diagnosis, and medical treatment. To improve the safety and effectiveness of different medications as well as to create appropriate, individualized treatment plans for both males and females, it is greatly essential to understand the sex-related differences. In order to better understand the gender-based variations in the efficacy and safety of various medicines, this review gives a brief summary of the pharmacokinetics and pharmacodynamics of many drugs, organized by gender.
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不同药物的药代动力学和药效学活动中的性别差异
尽管各种药物的性别差异已被详细记录,但性别对各种药物作用的确切影响仍不得而知。由于身体成分、生理机能、药物动力学(A、D、M、E)以及药效学的差异,女性和男性对不同药物产生不同反应的情况并不少见。这些差异包括月经周期、怀孕和更年期的荷尔蒙影响。女性在临床试验中的代表性不足,是为各年龄段女性优化药物的一大障碍,直接导致了循证药物的使用不足。此外,女性比男性更容易受到药物副作用的影响。因此,大多数针对中年男性进行的试验都被用来制定当前的疾病预防、诊断和治疗建议。为了提高不同药物的安全性和有效性,并为男性和女性制定合适的个性化治疗方案,了解与性别有关的差异是非常重要的。为了更好地了解各种药物在疗效和安全性方面的性别差异,本综述按性别简要介绍了许多药物的药代动力学和药效学。
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